WILLIAM KOWALLIS

BOISE, ID
NPI1053112227
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  3071460)
Enumeration Date2025-03-22
Last Update Date2025-06-01
Business Address
WILLIAM KOWALLIS
500 W FORT ST # 111R
BOISE, ID 83702-4599
Phone number: 208-422-1000
Mailing Address
WILLIAM KOWALLIS
2511 S NANTUCKET WAY
BOISE, ID 83706-5096
Phone number: 208-890-3492
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